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See a sample rate comparisonHCPCS E0160 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Sitz type bath or equipment, portable, used with or without commode
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Sitz Bath/Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0160 |
National average reimbursement for HCPCS E0160 by major payers:
$23.40
$21.59
$23.02
$43.29
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HCPCS E0160
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$72.22Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$18.47Published rateEmory Healthcare
$16.81Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$8.61Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$1.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0160 vs. Other Sitz Bath/Equipment Codes
The HCPCS E0160 code is part of the Durable Medical Equipment services used for Sitz Bath/Equipment. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0160 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0159-HCPCS | Low | Brake attachment for wheeled walker, replacement, each |
| E0160-HCPCS | Low | Sitz type bath or equipment, portable, used with or without commode |
| E0161-HCPCS | Low | Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0160 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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